Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.11 / $931.11 / $974.96	Facility		$931.11	$931.11	$974.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.53 / $804.84 / $1,493.83	Professional		$576.53	$804.84	$1,493.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,474.07	Facility		$837.35	$837.35	$1,474.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $1,553.63 / $1,942.03	Professional		$837.35	$1,553.63	$1,942.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.06 / $1,528.50 / $1,672.54	Professional		$1,273.06	$1,528.50	$1,672.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $841.82 / $1,721.91 / $7,137.75	Facility		$841.82	$1,721.91	$7,137.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $640.64 / $755.30 / $1,830.92	Professional		$640.64	$755.30	$1,830.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,469.76 / $1,474.07 / $2,035.75	Facility		$1,469.76	$1,474.07	$2,035.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,207.26 / $1,721.91 / $2,816.91	Professional		$1,207.26	$1,721.91	$2,816.91
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $662.58 / $874.74	Facility		$1.07	$662.58	$874.74
United Facility/Professional Professional Modifier Low / Median / High Price $640.64 / $668.54 / $1,576.82	Professional		$640.64	$668.54	$1,576.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,313.26 / $1,313.26 / $1,313.26	Facility		$1,313.26	$1,313.26	$1,313.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,037.48 / $1,313.26 / $1,313.26	Professional		$1,037.48	$1,313.26	$1,313.26